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Deficiency Records for Friendship Manor Health Care

A list of the most recent deficiencies for Friendship Manor Health Care. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Friendship Manor Health Care. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-01-09 2024-03-19 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-09 2024-02-09 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-01-09 2024-02-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-09 2024-02-09 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-01-09 2024-02-09 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-01-09 2024-02-09 Y
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-01-09 2024-02-09 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-09 2024-02-09 Y
Provide and implement an infection prevention and control program. Health 2024-01-09 2024-02-09 Y
Implement a program that monitors antibiotic use. Health 2024-01-09 2024-02-09 Y
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-11 2024-02-05 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-01-11 2024-02-02 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-11 2024-02-02 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-01-11 2024-02-01 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-01-11 2024-01-31 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-10-31 2023-11-22 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-09-21 2023-10-13 Y
Respond appropriately to all alleged violations. Health 2023-09-21 2023-10-13 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-21 2023-10-13 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-08-14 2023-09-22 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-14 2023-09-22 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-08 2023-09-08 Y
Respond appropriately to all alleged violations. Health 2023-08-08 2023-09-08 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-08-08 2023-09-08 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-01 2023-03-27 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-03-01 2023-03-27 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-03-01 2023-03-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-01 2023-03-27 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-03-01 2023-03-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-01 2023-03-27 N
Provide a written emergency evacuation plan. Fire Safety 2023-03-01 2023-03-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-03-01 2023-03-23 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-03-01 2023-03-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-01 2023-03-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-12-09 2022-12-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-23 2022-10-06 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-14 2022-10-01 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-05-12 2022-06-13 N
Provide properly protected cooking facilities. Fire Safety 2022-05-12 2022-06-13 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-05-12 2022-06-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-12 2022-06-13 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-05-12 2022-06-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-05-12 2022-06-13 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-04-21 2022-05-11 N
Provide and implement an infection prevention and control program. Health 2022-04-21 2022-05-11 N

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